DR. ABBY NICOLE FREDRICKSON (MD) – Psychiatry Physician, NPI 1376063370
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ABBY NICOLE FREDRICKSON (MD)
502 E 2nd St
Duluth, MN 558051913
Phone: (218) 786-8364
Type: Location
1919, Elm Street North, Longfellow, Fargo, Cass County, North Dakota, 58102, United States
FARGO, ND 581022416
Phone: (701) 293-4113
Fax: (701) 293-4109
Type: Mailing
400 E 3RD ST
DULUTH, MN 558051951
Phone: (218) 786-8364
Type: Mailing
502 E 2ND ST
DULUTH, MN 558051913
Phone: (218) 786-8364
Type: Location
2160 S 1ST AVE
MAYWOOD, IL 601533328
Phone: (708) 216-9000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-31
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230825002712 | I | Psychiatry | IL | TBD |
| I20230920000612 | I | Psychiatry | MO | TBD |
| I20230929001669 | I | Psychiatry | WI | TBD |
| I20231114000445 | I | Psychiatry | WA | TBD |
| I20250131001919 | I | Psychiatry | MD | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 308 | 33 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 33 | 33 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 20 | 20 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | SD | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| Nurse Practitioner | ND | |
| P S Y C H I A T R Y | ND | |
| P S Y C H I A T R Y | AL | |
| Nurse Practitioner | AR | |
| P S Y C H I A T R Y | LA | |
| P S Y C H I A T R Y | ND | |
| P S Y C H I A T R Y | ND |
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